2015, Número 2
<< Anterior Siguiente >>
Revista Cubana de Ortopedia y Traumatología 2015; 29 (2)
Técnicas quirúrgicas para las lesiones de menisco
Álvarez LA, García LY
Idioma: Español
Referencias bibliográficas: 55
Paginas: 158-168
Archivo PDF: 127.49 Kb.
RESUMEN
Los meniscos son estructuras anatómicas que desempeñan importantes funciones en
la articulación de la rodilla. Con el propósito de profundizar en las modalidades de
tratamiento quirúrgico en pacientes con lesiones de menisco de la rodilla, se realizó
una revisión bibliográfica de 300 artículos publicados en Pubmed, Hinari y Medline
mediante el localizador de información Endnote; fueron seleccionadas 55 citas, 51 de
ellas de los últimos 5 años, donde se incluyeron dos libros. Las modalidades de
tratamiento quirúrgico son la meniscectomía, la reparación y la sustitución. Se realizó
una breve descripción anatómica y epidemiológica de la entidad, para luego
profundizar en los detalles de las técnicas empleadas. En relación con la reparación se
plasman las diferentes variantes de tratamiento, sus indicaciones y complicaciones. La
sustitución de menisco tiene indicaciones específicas indispensables para obtener
resultados satisfactorios. El tratamiento de las lesiones de menisco es, por lo general,
quirúrgico, en especial mediante el empleo de la vía artroscópica. Las variedades de
tratamiento dependen del tipo de lesión, de las posibilidades materiales y las
habilidades del cirujano.
REFERENCIAS (EN ESTE ARTÍCULO)
Ellman MB, LaPrade CM, Smith SD, Rasmussen MT, Engebretsen L, Wijdicks CA, et al. Structural Properties of the Meniscal Roots. Am J Sports Med. 2014 May;42(8):1881-7.
Fok AW, Yau WP. Early results of all-inside meniscal repairs using a pre-loaded suture anchor. Hong Kong Med J. 2013 Apr;19(2):124-8.
Hagino T, Ochiai S, Watanabe Y, Senga S, Wako M, Ando T, et al. Clinical results of arthroscopic all-inside lateral meniscal repair using the Meniscal Viper Repair System. Eur J Orthop Surg Traumatol. 2014 Jan;24(1):99-104.
Westermann RW, Wright RW, Spindler KP, Huston LJ, Wolf BR. Meniscal repair with concurrent anterior cruciate ligament reconstruction: operative success and patient outcomes at 6-year follow-up. Am J Sports Med. 2014 Sep;42(9):2184-92.
Goradia VK. All-inside arthroscopic meniscal repair with meniscal cinch. Arthrosc Tech. 2013 May;2(2):e171-4.
Hutchinson ID, Moran CJ, Potter HG, Warren RF, Rodeo SA. Restoration of the meniscus: form and function. Am J Sports Med. 2014 Apr;42(4):987-98.
Barber FA, Bava ED. Meniscal repair: the newest fixators. Sports Med Arthrosc. 2012 Jun;20(2):95-100.
Fiorentino G, de Caro F, Cepparulo R, Guardoli A, Berni L, Delcogliano M, et al. Easy and Safe All-Inside Suture Technique for Posterior Horn Tears of Lateral Meniscus Using Standard Anteromedial and Anterolateral Portals. Arthrosc Tech. 2013 Sep;2(4):e355-9.
Nguyen JC, De Smet AA, Graf BK, Rosas HG. MR imaging-based diagnosis and classification of meniscal tears. Radiographics. 2014 Jul-Aug;34(4):981-99.
Mordecai SC, Al-Hadithy N, Ware HE, Gupte CM. Treatment of meniscal tears: An evidence based approach. World J Orthop. 2014 Jul 18;5(3):233-41.
Kesto WK, Esquivel AO, Markel DC. Shear force at failure and stiffness of all-inside meniscal repair devices. J Knee Surg. 2013 Dec;26(6):435-40.
Ayeni O, Peterson D, Chan K, Javidan A, Gandhi R. Suture repair versus arrow repair for symptomatic meniscus tears of the knee: a systematic review. J Knee Surg. 2012 Nov;25(5):397-402.
Petersen W, Forkel P, Feucht MJ, Zantop T, Imhoff AB, Brucker PU. Posterior root tear of the medial and lateral meniscus. Arch Orthop Trauma Surg. 2014 Feb;134(2):237-55.
López Vidriero E, Johnson DH. Meniscus resection. En: Johnson DH. Operative Arthroscopy. 4th ed. Philadelphia: Lippincott William & Wilkins; 2013. p.615-26.
Kozlowski EJ, Barcia AM, Tokish JM. Meniscus repair: the role of accelerated rehabilitation in return to sport. Sports Med Arthrosc. 2012 Jun;20(2):121-6.
Rue JP, Pickett A. Meniscal Repair and Transplantation in the Military Active-duty Population. Clin Sports Med. 2014 Oct;33(4):641-653.
Lembach M, Johnson DL. Meniscal repair techniques required for the surgeon performing anterior cruciate ligament reconstruction. Orthopedics. 2014 Aug;37(9):617-21.
Buchcic P, Domzalski M, Maslon A, Lebiedzinski R, Grzegorzewski A. Reliability of clinical evaluation of meniscus repair with the all-inside technique. Ortop Traumatol Rehabil. 2013 Mar-Apr;15(2):131-7.
Stärke C, Kopf S, Lippisch R, Lohmann CH, Becker R. Tensile forces on repaired medial meniscal root tears. Arthroscopy. 2013 Feb;29(2):205-12.
Laible C, Stein DA, Kiridly DN. Meniscal repair. J Am Acad Orthop Surg. 2013 Apr;21(4):204-13.
Bogunovic L, Kruse LM, Haas AK, Huston LJ, Wright RW. Outcome of All-Inside Second-Generation Meniscal Repair: Minimum Five-Year Follow-up. J Bone Joint Surg Am. 2014 Aug;96(15):1303-7.
Wasserstein D, Dwyer T, Gandhi R, Austin PC, Mahomed N, Ogilvie-Harris D. A matched-cohort population study of reoperation after meniscal repair with and without concomitant anterior cruciate ligament reconstruction. Am J Sports Med. 2013 Feb;41(2):349-55.
Goldstein MJ, Sgaglione NA. All inside arthroscopic meniscal repair. En: Johnson DH. Operative Arthroscopy. 4th ed. Philadelphia: Lippincott William & Wilkins; 2013. p.627-38.
Furumatsu T, Miyazawa S, Tanaka T, Okada Y, Fujii M, Ozaki T. Postoperative change in medial meniscal length in concurrent all-inside meniscus repair with anterior cruciate ligament reconstruction. Int Orthop. 2014 Jul;38(7):1393-9.
Choi NH, Kim BY, Hwang Bo BH, Victoroff BN. Suture Versus FasT-Fix All-Inside Meniscus Repair at Time of Anterior Cruciate Ligament Reconstruction. Arthroscopy. 2014 Oct;30(10):1280-6.
Haklar U, Donmez F, Basaran SH, Canbora MK. Results of arthroscopic repair of partial- or full-thickness longitudinal medial meniscal tears by single or double vertical sutures using the inside-out technique. Am J Sports Med. 2013 Mar;41(3):596-602.
Billante MJ, Diduch DR, Lunardini DJ, Treme GP, Miller MD, Hart JM. Meniscal repair using an all inside, rapidly absorbing, tensionable device. Arthroscopy. 2008 Jul;27(4):779-85.
Englund M, Guermazi A, Lohmander SL. The role of the meniscus in knee osteoarthritis: a cause or consequence? Radiol Clin North Am. 2009 Jul;47(4):703-12.
Paxton ES, Stock MV, Brophy RH. Meniscal repair versus partial meniscectomy: a systemic review comparing reoperation rates and clinical outcomes. Arthroscopy. 2011 Sep;27(9):1275-88.
Ferkel RD, Davis JR, Friedman MJ, Fox JM, Del Pizzo W, Snyder SJ, et al. Arthroscopic partial medial meniscectomy: an analysis of unsatisfactory results. Arthroscopy. 2010 Nov;26(11):1528-9.
Yoon KH, Park KH. Meniscal repair. Knee Surg Relat Res. 2014 Jun;26(2):68-76.
Di Matteo B, Tarabella V, Filardo G, Viganò A, Tomba P, Marcacci M. Thomas Annandale: the first meniscus repair. Knee Surg Sports Traumatol Arthrosc. 2013 Sep;21(9):1963-6.
Cho JH. A Modified Outside-in Suture Technique for Repair of the Middle Segment of the Meniscus Using a Spinal Needle. Knee Surg Relat Res. 2014 Mar;26(1):43-7.
Espejo Baena A, Figueroa Mata A, Serrano Fernández J, de la Torre Solís F. All inside suture technique using anterior portals in posterior horn tears of lateral meniscus. Arthroscopy. 2008 Mar;24(3):369.e1-369.e4.
Nepple JJ, Dunn WR, Wright RW. Meniscal repair outcomes at greater than five years: a systematic literature review and meta-analysis. J Bone Joint Surg Am. 2012 Dec;94(24):2222-7.
Thompson SM, Spalding T, Church S. A novel and cheap method of outside-in meniscal repair for anterior horn tears. Arthrosc Tech. 2014 Mar;3(2):e233-5.
Espejo Baena A, Martín Castilla B, Serrano Fernández J, Fernández de Rota Conde A, Espejo Reina A, Estades Rubio F. Inside out medial meniscus suture: an analysis of the risk of injury to the popliteal neurovascular bundle. Arthroscopy. 2011 Apr;27(4):516-21.
Johnson D, Weiss B. Meniscal repair using the inside-out suture technique. Sports Med Arthrosc. 2012 Jun;20(2):68-76.
Kurzweil PR. Inside out and outside in meniscus repair. En: Johnson DH. Operative Arthroscopy. 4th ed. Philadelphia: Lippincott William & Wilkins; 2013. p.639-45.
Ramappa AJ, Chen A, Hertz B, Wexler M, Grimaldi Bournissaint L, DeAngelis JP, et al. A biomechanical evaluation of all-inside 2-stitch meniscal repair devices with matched inside-out suture repair. Am J Sports Med. 2014 Jan;42(1):194-9.
Vascellari A, Rebuzzi E, Schiavetti S, Coletti N. All-inside meniscal repair using the FasT-fix meniscal repair system: is still needed to avoid weight bearing? A systematic review. Musculoskelet Surg. 2012 Dec;96(3):149-54.
Walgrave S, Claes S, Bellemans J. High incidence of intraoperative anchorage failure in FasT-fix all inside meniscal suturing device. Acta Orthop Belg. 2013 Dec;79(6):689-93.
Kalliakmanis A, Zourntos S, Bousgas D, Nikolaou P. Comparison of arthroscopic meniscal repair results using 3 different meniscal repair devices in anterior cruciate ligament reconstruction patients. Arthroscopy. 2008 Jul;24(7):810-6.
Ra HJ, Ha JK, Jang SH, Lee DW, Kim JG. Arthroscopic inside-out repair of complete radial tears of the meniscus with a fibrin clot. Knee Surg Sports Traumatol Arthrosc. 2013 Sep;21(9):2126-30.
Kim JG, Lee YS, Bae TS, Ha JK, Lee DH, Kim YJ, et al. Tibiofemoral contact mechanics following posterior root of medial meniscus tear, repair, meniscectomy, and allograft transplantation. Knee Surg Sports Traumatol Arthrosc. 2013 Sep;21(9):2121-5.
Espejo Reina A, Serrano-Fernández JM, Martín-Castilla B, Estades Rubio FJ, Briggs KK, Espejo Baena A. Outcomes after repair of chronic bucket-handle tears of medial meniscus. Arthroscopy. 2014 Apr;30(4):492-6.
Imade S, Kumahashi N, Kuwata S, Kadowaki M, Ito S, Uchio Y. Clinical outcomes of revision meniscal repair: a case series. Am J Sports Med. 2014 Feb;42(2):350-7.
Vyas D, Harner CD. Meniscus root repair. Sports Med Arthrosc. 2012 Jun;20(2):86-94.
Scotti C, Hirschmann MT, Antinolfi P, Martin I, Peretti GM. Meniscus repair and regeneration: review on current methods and research potential. Eur Cell Mater. 2013 Sep;26:150-70.
Braun HJ, Wasterlain AS, Dragoo JL. The use of PRP in ligament and meniscal healing. Sports Med Arthrosc. 2013 Dec;21(4):206-12.
Ong E, Chimutengwende-Gordon M, Khan W. Stem cell therapy for knee ligament, articular cartilage and meniscal injuries. Curr Stem Cell Res Ther. 2013 Nov;8(6):422-8.
Zellner J, Hierl K, Mueller M, Pfeifer C, Berner A, Dienstknecht T, et al. Stem cellbased tissue-engineering for treatment of meniscal tears in the avascular zone. J Biomed Mater Res B Appl Biomater. 2013 Oct;101(7):1133-42.
Kaleka CC, Debieux P, da Costa Astur D, Arliani GG, Cohen M. Updates in biological therapies for knee injuries: menisci. Curr Rev Musculoskelet Med. 2014 Sep;7(3):247-55.
Hasan J, Fisher J, Ingham E. Current strategies in meniscal regeneration. J Biomed Mater Res B Appl Biomater. 2014 Apr;102(3):619-34.
Economopoulos K, Carter TR, Chhabra A. Meniscal allograft transplantation. En: Scott WN. Insall & Scott Surgery of the knee. 5 th ed. Philadelphia: Elsevier; 2012. p.293-306.